Individual provider Active NPI

Lawrence Lankhorst Jr., D.C.

  • Chiropractor
  • Millinocket, ME
National Provider Identifier
1306908868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
484 Issued in ME
Practice address
41 Penobscot Ave
Millinocket, ME 04462-1320
Phone
(207) 723-9468
Fax
(207) 723-9385
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 484 ME Primary

Addresses

Primary practice location

41 Penobscot Ave
Millinocket, ME 04462-1320

Mailing address

41 Penobscot Ave
Millinocket, ME 04462-1320
Phone (207) 723-9468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
484MEMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306908868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PENOBSCOT AVE",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621320",
            "telephone_number": "207-723-9468",
            "fax_number": "207-723-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PENOBSCOT AVE",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621320",
            "telephone_number": "207-723-9468",
            "fax_number": "207-723-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKHORST JR.",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.